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Military Resource Assistance Application

Cove Active-Duty Military Resource Assistance Form

Submit this form to apply for Cove active-duty military resource assistance. If you need immediate help,
please call 828-771-4800.

Please Note: To allow us to assist a larger number of military personnel, resource assistance is limited to two events per calendar
year, per participant.* (Married couples may attend one Military Marriage seminar and one non-military seminar per
year.) Military Marriage seminars are limited to couples united under the biblical definition of marriage as described
in BGEA’s statement of faith.

Your Information

Salutation:

First Name:

Last Name:

Rank (Title) & Branch:

Year of Birth:

Address:

City:

State:

ZIP Code:

Home Phone Number:(example format: 828-771-4800)

Cell Phone Number:(example format: 828-771-4800)

Email Address (Please do not use Military email address):

Confirm Email Address:

Are you a chaplain?

YesNo

How did you hear about the Military Resource Assistance Program?

Spouse Information* (if applicable)

* Active-duty military service member and spouse (if attending) must be registered jointly. Resource assistance will not be awarded to spouse alone.

Spouse Salutation:

Spouse First Name:

Spouse Last Name:

Spouse Year of Birth:

Military Resource Assistance Eligibility Requirements

(Assistance awards limited to active-duty military personnel and spouses only. Maximum award of 2 per year, per person.)>

Are you currently on Active-Duty?

YesNo

If Reservist or National Guard, are you still deployable?

YesNo

Are you now, or have you previously been, Deployed/Mobilized in the Global War on Terror?